lOMoARcPSD| 27435123
NGN HESI EXIT EXAM RN V1 FINAL
EXAM STUDY GUIDE AND REVIEW
WITH 160 QUESTIONS & 100%
CORRECT
ANSWERS GRADED A+.
(GUARANTEED SUCCESS), LATEST
2027 UPDATE.
1. Which information is a priority for the RN to reinforce to an older
patient after intravenous pylegraphy?
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the test is tiring.
C) During waking hours drink at least 1 8-ounce glass of fluid every hour
for the next 2 days
D) Measure the urine output for the next day and immediately notify the
health care provider if it should decrease.
ANS is D: Measure the urine output for the next day and immediately
notify the health care provider if it should decrease.
2. A patient has altered renal function and is being treated at home. The
nurse recognizes
that the most accurate indicator of fluid balance during the weekly visits
is
A) difference in the intake and output
B) changes in the mucous membranes
C) skin turgor
D) weekly weight
ANS is D: weekly weight
3. A patient has been diagnosed with Zollinger-Ellison
syndrome.Which information is most important for the nurse to
reinforce with the patient ?
A) It is a condition in which one or more tumors called gastrinomas
form in the pancreas
or in the upper part of the small intestine (duodenum)
, lOMoARcPSD| 27435123
B) It is critical to report promptly to your health care provider any
findings of peptic ulcers
c)Treatment consists of medications to reduce acid and heal any peptic
ulcers and, if
possible, surgery to remove any tumors
D)With the average age at diagnosis at 50 years the peptic ulcers may
occur at unusual
areas of the stomach or intestine
ANS is B: It is critical to report promptly to your health care provider any
findings of peptic ulcers.
4. A prim gravida in the third trimester is hospitalized for preeclampsia.
The nurse determines that the patient ’s blood pressure is increasing.
Which action should the nurse take first?
A) Check the protein level in urine
B) Have the patient turn to the left side
C) Take the temperature
D) Monitor the urine output
ANS is B: Have the patient turn to the left side
5. The nurse is caring for a patient in atrial fibrillation. The atrial heart
rate is 250 and the
ventricular rate is controlled at 75. Which of the following findings is
cause for the most concern?
A) Diminished bowel sounds
B) Loss of appetite
C) A freezing, pale lower leg
D) Tachypnea
ANS is C: A freezing, pale lower leg
6. The patient with infective endocarditis must be assessed frequently by
the home health
nurse. Which finding suggests that antibiotic therapy is not effective, and
must be reported by the nurse immediately to the healthcare provider?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash
D) Muscle tenderness
ANS is B: Fever of 103 degrees F (39.5 degrees C)
, lOMoARcPSD| 27435123
7. A patient who had a vasectomy is in the post recovery unit at
an outpatient clinic. Which of these points is most important to
be reinforced by the nurse?
A) Until the health care provider has determined that your ejaculate
doesn’t contain sperm, continue to use another form of contraception.
B) This procedure doesn’t impede the production of male hormones
or the production of
sperm in the testicles. The sperm can no longer enter your semen and no
sperm are in your ejaculate.
C) After your vasectomy, strenuous activity needs to be avoided for at
least 48 hours. If
your work doesn’t involve hard physical labor; you can return to your job
as soon as you feel up to it. The stitches generally dissolve in seven to
ten days.
D) The health care provider at this clinic recommends rest, ice, an
athletic supporter or over-the-counter pain medication to relieve any
discomfort.
ANS is A: Until the health care provider has determined that your
ejaculate doesn’t contain sperm, continue to use another form of
contraception.
8. A patient who is to have antineoplastic chemotherapy tells the nurses
of a fear of being
sick all the time and wishes to try acupuncture. Which of these
beliefs stated by the patient would be incorrect about acupuncture?
A) Some needles go as deep as 3 inches, depending on where they’re
placed in the body
and what the treatment is for. The needles usually are left in for 15 to 30
minutes.
B) In traditional Chinese medicine, imbalances in the basic energetic
flow of life 4 known as qi or chi 4 are thought to cause illness.
C) The flow of life is believed to flow through major pathways or nerve
clusters in your body.
D) By inserting extremely fine needles into some of the over 400
acupuncture points in
various combinations it is believed that energy flow will rebalance to
allow the body’s natural healing mechanisms to take over.
ANS is C: The flow of life is believed to flow through major pathways or
nerve clusters in your body.
9. The nurse is discussing with a group of students the illness
Kawasaki. What statement made by a student about Kawasaki illness is
incorrect?
, lOMoARcPSD| 27435123
A) It also called mucocutaneous lymph node syndrome because it
affects the mucous membranes (inside the mouth, throat and nose),
skin and lymph nodes.
B) In the second phase of the illness, findings include peeling of the
skin on the hands
and feet with joint and abdominal pain
C) Kawasaki illness occurs most often in boys, children younger than
age 5 and children of Hispanic descent
D) Initially findings are a sudden high fever, usually above 104
degrees Fahrenheit, which lasts 1 to2 weeks
ANS is C: Kawasaki illness occurs most often in boys, children
younger than age 5 and children of Hispanic descent
10. A patient has viral pneumonia affecting 2/3 of the right lung. What
would be the best
position to teach the patient to lie in every other hour during first 12
hours after admission?
A) Side-lying on the left with the head elevated 10 degrees
B) Side-lying on the left with the head elevated 35 degrees
C) Side-lying on the right will the head elevated 10 degrees
D) Side-lying on the right with the head elevated 35 degrees
ANS is A: Side-lying on the left with the head elevated 10 degrees
11. A patient has an indwelling catheter with continuous bladder
irrigation after undergoing a trans urethral resection of the prostate
(TURP) 12 hours ago. Which finding at this time should be reported to
the health care provider?
A) Light, pink urine
B) occasional suprapubic cramping
C) minimal drainage into the urinary collection bag
D) complaints of the feeling of pulling on the urinary
catheter ANS is C: minimal drainage into the urinary
collection bag
12. A nurse is performing CPR on an adult who went into
cardiopulmonary arrest.
Another nurse enters the room in response to the call. After checking the
patient ’s pulse
and respirations, what should be the
function of the second nurse?
A) Relieve the nurse performing CPR
B) Go get the code cart
C) Participate with the compressions or breathing
NGN HESI EXIT EXAM RN V1 FINAL
EXAM STUDY GUIDE AND REVIEW
WITH 160 QUESTIONS & 100%
CORRECT
ANSWERS GRADED A+.
(GUARANTEED SUCCESS), LATEST
2027 UPDATE.
1. Which information is a priority for the RN to reinforce to an older
patient after intravenous pylegraphy?
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the test is tiring.
C) During waking hours drink at least 1 8-ounce glass of fluid every hour
for the next 2 days
D) Measure the urine output for the next day and immediately notify the
health care provider if it should decrease.
ANS is D: Measure the urine output for the next day and immediately
notify the health care provider if it should decrease.
2. A patient has altered renal function and is being treated at home. The
nurse recognizes
that the most accurate indicator of fluid balance during the weekly visits
is
A) difference in the intake and output
B) changes in the mucous membranes
C) skin turgor
D) weekly weight
ANS is D: weekly weight
3. A patient has been diagnosed with Zollinger-Ellison
syndrome.Which information is most important for the nurse to
reinforce with the patient ?
A) It is a condition in which one or more tumors called gastrinomas
form in the pancreas
or in the upper part of the small intestine (duodenum)
, lOMoARcPSD| 27435123
B) It is critical to report promptly to your health care provider any
findings of peptic ulcers
c)Treatment consists of medications to reduce acid and heal any peptic
ulcers and, if
possible, surgery to remove any tumors
D)With the average age at diagnosis at 50 years the peptic ulcers may
occur at unusual
areas of the stomach or intestine
ANS is B: It is critical to report promptly to your health care provider any
findings of peptic ulcers.
4. A prim gravida in the third trimester is hospitalized for preeclampsia.
The nurse determines that the patient ’s blood pressure is increasing.
Which action should the nurse take first?
A) Check the protein level in urine
B) Have the patient turn to the left side
C) Take the temperature
D) Monitor the urine output
ANS is B: Have the patient turn to the left side
5. The nurse is caring for a patient in atrial fibrillation. The atrial heart
rate is 250 and the
ventricular rate is controlled at 75. Which of the following findings is
cause for the most concern?
A) Diminished bowel sounds
B) Loss of appetite
C) A freezing, pale lower leg
D) Tachypnea
ANS is C: A freezing, pale lower leg
6. The patient with infective endocarditis must be assessed frequently by
the home health
nurse. Which finding suggests that antibiotic therapy is not effective, and
must be reported by the nurse immediately to the healthcare provider?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash
D) Muscle tenderness
ANS is B: Fever of 103 degrees F (39.5 degrees C)
, lOMoARcPSD| 27435123
7. A patient who had a vasectomy is in the post recovery unit at
an outpatient clinic. Which of these points is most important to
be reinforced by the nurse?
A) Until the health care provider has determined that your ejaculate
doesn’t contain sperm, continue to use another form of contraception.
B) This procedure doesn’t impede the production of male hormones
or the production of
sperm in the testicles. The sperm can no longer enter your semen and no
sperm are in your ejaculate.
C) After your vasectomy, strenuous activity needs to be avoided for at
least 48 hours. If
your work doesn’t involve hard physical labor; you can return to your job
as soon as you feel up to it. The stitches generally dissolve in seven to
ten days.
D) The health care provider at this clinic recommends rest, ice, an
athletic supporter or over-the-counter pain medication to relieve any
discomfort.
ANS is A: Until the health care provider has determined that your
ejaculate doesn’t contain sperm, continue to use another form of
contraception.
8. A patient who is to have antineoplastic chemotherapy tells the nurses
of a fear of being
sick all the time and wishes to try acupuncture. Which of these
beliefs stated by the patient would be incorrect about acupuncture?
A) Some needles go as deep as 3 inches, depending on where they’re
placed in the body
and what the treatment is for. The needles usually are left in for 15 to 30
minutes.
B) In traditional Chinese medicine, imbalances in the basic energetic
flow of life 4 known as qi or chi 4 are thought to cause illness.
C) The flow of life is believed to flow through major pathways or nerve
clusters in your body.
D) By inserting extremely fine needles into some of the over 400
acupuncture points in
various combinations it is believed that energy flow will rebalance to
allow the body’s natural healing mechanisms to take over.
ANS is C: The flow of life is believed to flow through major pathways or
nerve clusters in your body.
9. The nurse is discussing with a group of students the illness
Kawasaki. What statement made by a student about Kawasaki illness is
incorrect?
, lOMoARcPSD| 27435123
A) It also called mucocutaneous lymph node syndrome because it
affects the mucous membranes (inside the mouth, throat and nose),
skin and lymph nodes.
B) In the second phase of the illness, findings include peeling of the
skin on the hands
and feet with joint and abdominal pain
C) Kawasaki illness occurs most often in boys, children younger than
age 5 and children of Hispanic descent
D) Initially findings are a sudden high fever, usually above 104
degrees Fahrenheit, which lasts 1 to2 weeks
ANS is C: Kawasaki illness occurs most often in boys, children
younger than age 5 and children of Hispanic descent
10. A patient has viral pneumonia affecting 2/3 of the right lung. What
would be the best
position to teach the patient to lie in every other hour during first 12
hours after admission?
A) Side-lying on the left with the head elevated 10 degrees
B) Side-lying on the left with the head elevated 35 degrees
C) Side-lying on the right will the head elevated 10 degrees
D) Side-lying on the right with the head elevated 35 degrees
ANS is A: Side-lying on the left with the head elevated 10 degrees
11. A patient has an indwelling catheter with continuous bladder
irrigation after undergoing a trans urethral resection of the prostate
(TURP) 12 hours ago. Which finding at this time should be reported to
the health care provider?
A) Light, pink urine
B) occasional suprapubic cramping
C) minimal drainage into the urinary collection bag
D) complaints of the feeling of pulling on the urinary
catheter ANS is C: minimal drainage into the urinary
collection bag
12. A nurse is performing CPR on an adult who went into
cardiopulmonary arrest.
Another nurse enters the room in response to the call. After checking the
patient ’s pulse
and respirations, what should be the
function of the second nurse?
A) Relieve the nurse performing CPR
B) Go get the code cart
C) Participate with the compressions or breathing
